| NPI | 1316985005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 7773) |
| Additional Taxonomies | 174400000X Specialist (Licence: PR 7773) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2018-12-20 |